Harrison Kay, MD
Surgery of the Hand · Austin, TXNPI 1164883096
Payments from drug & device makers
What this record shows
This record is dominated by grants: $13,333 of the $18,709 with a category attached, or 71.3%. Acumed LLC accounts for 71.3% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2021 at $14,760 and has fallen 99.7% since, to $45 in 2025. Among surgery of the hand clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 18 payments — averaging $1039.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$13K
- Elite Orthopedics, LLC$5K
- Smith+Nephew$227
- Medical Device Business Services, Inc.$200
- Sonex Health, Inc.$29
- Core Surgical Group$21
What the payments were for
- Grants$13,33371%
- Food & beverage$3762%
- Education$5,00027%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Acumed LLC | 1 | $13,333 |
| Elite Orthopedics, LLC | 9 | $4,899 |
| Smith+Nephew | 4 | $227 |
| Medical Device Business Services, Inc. | 1 | $200 |
| Sonex Health, Inc. | 2 | $29 |
| Core Surgical Group | 1 | $21 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- EVOS$143
- TRIGEN InterTAN$143
How this compares
$18,709 in reported general payments places this provider in the 95th percentile of 68 surgery of the hand providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 35 | $313 |
| Meloxicam | 24 | $68 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Austin
- Gregg VagnerAustin$9K
- Ira LownAustin$5K
- Brent EgelandAustin$2K
- Sanjay SharmaAustin$1K
- Umeshchandra GadariaAustin$453
- Desirae McKeeLubbock$59K
- Stuart HilliardDenton$21K
- Suresh KoneruSan Antonio$17K
- Dustin RayDallas$15K
- Laurence WeiderDallas$13K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.